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David Roomes

15 Apr 2026 · Coroner Ian Potter · Kent and Medway
Check this reportOriginal

The coroner's concerns

  1. 1. delayed referral triage

    “There was a significant delay in [the deceased]'s referral to the Trust being triaged”

  2. 2. delay in seeing qualified clinician

    “It was accepted in evidence that there was a delay in [the deceased] being seen by a qualified clinician”

Responses

No published response was found on judiciary.uk.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error

David Roomes · Recurance